Laurajean Councill in Pasadena - Pharmacist

Laurajean Councill - NPI 1487799490

Laurajean Councill is a Pharmacist in Pasadena, Maryland. Laurajean Councill practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Laurajean Councill is 1487799490. The last update date is 2022-12-22.

Laurajean Councill's current location address is 3021 Mountain Rd Ste A, Pasadena, Maryland. You can contact this provider via phone number 4104379366 and fax number 4104378107. The mailing address for Laurajean Councill is 3021 Mountain Rd Ste A, Pasadena, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Laurajean Councill
Address 3021 Mountain Rd Ste A, Pasadena, Maryland
Phone Number 4104379366
Fax Number 4104378107
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1487799490
Provider Enumeration Date 2007-02-20
Last Updated Date 2022-12-22

Provider Mailing Address Detail

Address 3021 Mountain Rd Ste A
City Pasadena
State Maryland (MD)
Post Code 211222015
Phone Number 4104379366
Fax Number 4104378107

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 8828
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
KBQ4CO MD BLUE CROSS BLUE SHIELD
W219-0001 DC BLUE CROSS BLUE SHIELD
W219-0001 DC BLUE SHIELD FEP
43428-8700 MD --

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FAQs about Laurajean Councill

What is the unique identifier code issued to Laurajean Councill by the Centers for Medicare & Medicaid Services?

The Laurajean Councill has been assigned the NPI (National Provider Identifier) 1487799490. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Laurajean Councill's facilities are situated?

The facilities of Laurajean Councill are physically located at the following address: 3021 Mountain Rd Ste A, Pasadena, MD, 211222015.

What is Laurajean Councill's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Laurajean Councill is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.

On what date did Laurajean Councill receive its 1487799490 assignment from the Centers for Medicare & Medicaid Services?

The Laurajean Councill was assigned its 1487799490 on 2007-02-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Laurajean Councill most recently updated or revised?

The details related to Laurajean Councill, including its address, specialty, and other relevant information, were last updated or revised on 2022-12-22.

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